HomeMy WebLinkAbout131769 PATRICK PLUMBING & HEATING LLC - INSURANCE CERTIFICATEACORD, CERTIFICATE OF LIABILITY
INSURANCE
1ATE (MMA
0/11/070VVYY)
PRODUCER
Flood & Peterson Insurance Inc
4821 Wheaton Drive
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
P O Box 270370
Fort Collins, CO 80527
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURERA United Fire & Cas
Patrick Plumbing & Heating, L L C
INSURER B
3600 Horsetooth Court
I INSURER
Fort Collins, CO 80526
INSURER D
INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
TRW M-n SR
LTR NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDDIYY
POLICY EXPIRATION
DATE MMIDOIYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENER�AL LIABILITY
CLAJ 15 MADE �J OCCUR
X PD Ded 1,000
60073860
10/01/07
10/01/08
EACH OCCURRENCE
$1000000
PREMGE TO RENTED best$100
000
MED EXP (Any one person)
$5 000
PERSONAL & ADV INJURY
$1 000 000
GENERAL AGGREGATE
$2 000 000
GEN L AGGREGATE LIMIT APPLIES PER
POLICY JECT LOC
PRODUCTS COMPIOPAGG
$2000000
A
AUTOMOBILE
LIABILITY
ANYAUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
60073860
10101/07
10/01/08
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
Person)
(Per Pe
$
X
X
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
_
GARAGE LIABILITY
ANY AUTO
AUTOONLV EAACCIDENT
$
OTHERTHAN EA ACID
AUTO ONLY AGO
$
$
A
EXCESSIUMBRELLALIABILITY
X OCCUR F CLAIMS MADE
DEDUCTIBLE
X RETENTION $ 10000
60073860
10/01/07
10/01/08
EACH OCCURRENCE
$1000000
AGGREGATE
$1 000 000
$
$
WORKERS COMPENSATION AND
EMPLOYERS .ABILITY
ANY PROPRIETOR/PARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED'
If yes describe under
SPECIAL PROVISIONS be
WC STATU I OTH
iORV LIMA FR
$
EL EACH ACCIDENT
EL DISEASE EA EMPLOYEE
$
E L DISEASE POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Re Contractors License
City of Fort Collins
P O Box 580
Fort Collins, CO 80521
LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN
E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL
IS NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
ACORD 25 (2001108) 1 of 2 #M396392 DXS 0 ACORD CORPORATION 19BO
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s)
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s)
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing msurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon
AGUKU 25-5 (2UUl/Ud) 2 of 2 #M396392